Anticolonization of Carbapenem-Resistant Klebsiella pneumoniae by Lactobacillus plantarum LP1812 Through Accumulated Acetic Acid in Mice Intestinal
文献类型： 外文期刊
作者： Yan, Rushuang 1 ; Lu, Ye 1 ; Wu, Xiaoqing 3 ; Yu, Peihao 1 ; Lan, Peng 1 ; Wu, Xueqing 2 ; Jiang, Yan 2 ; Li, Qi 5 ; Pi, Xionge 6 ; Liu, Wei 6 ; Zhou, Jiancang 1 ; Yu, Yunsong 2 ;
作者机构： 1.Zhejiang Univ, Sir Run Run Shaw Hosp, Sch Med, Dept Crit Care Med, Hangzhou, Peoples R China
2.Sir Run Run Shaw Hosp, Key Lab Microbial Technol & Bioinformat Zhejiang, Hangzhou, Peoples R China
3.Zhejiang Univ, Sir Run Run Shaw Hosp, Sch Med, Dept Rehabil, Hangzhou, Peoples R China
4.Zhejiang Univ, Sir Run Run Shaw Hosp, Sch Med, Dept Infect Dis, Hangzhou, Peoples R China
5.Lanxi Peoples Hosp, Dept Emergency Med, Lanxi, Peoples R China
6.Zhejiang Acad Agr Sci, Inst Plant Protect & Microbiol, Hangzhou, Peoples R China
关键词： carbapenem-resistant; Klebsiella pneumoniae; Lactobacillus plantarum; anticolonization; Acetic acid
期刊名称：FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY （ 影响因子：6.073； 五年影响因子：6.34 ）
ISSN： 2235-2988
年卷期： 2021 年 11 卷
页码：
收录情况： SCI
摘要： Carbapenem-resistant Klebsiella pneumoniae (CRKP) is highly prevalent and poses a significant threat to public health. In critically ill patients, gut colonization is considered to be the reservoir of recurrent CRKP infection. Therefore, eliminating CRKP carriage in the intestine is critical for preventing subsequent CRKP infection. In the present study, Lactobacillus plantarum LP1812, a probiotic that can inhibit CRKP in vitro, was used as a candidate probiotic to investigate its efficacy for CRKP anticolonization. Compared with the control, mice fed with 1x10 (8) CFU L. plantarum LP1812 exhibited significant CRKP clearance from 1x10 (4) CFU/mg to less than 10 CFU/mg in mice feces. Furthermore, 16S RNA gene sequencing revealed that L. plantarum LP1812 modulated mice microbiota by increasing the relative abundance of the genus Halomanas, Blautia, and Holdemania. Further KEGG pathway enrichment analysis revealed that fatty acid-utilizing bacteria, such as acetate-producing Bacteroidetes and Blautia flourished in mice fed with L. plantarum LP1812. Moreover, we found that the concentration of acetic acid was higher in L. plantarum LP1812, which inhibited the growth of K. pneumoniae strains in vitro. Meanwhile, mice intragastrically administered with acetic acid exhibited significantly increased CRKP elimination in vivo. In conclusion, L. plantarum LP1812 is a potential candidate for intestinal CRKP anticolonization by regulating the intestinal microbiota and inhibiting CRKP via increased acetic acid in the intestinal lumen.
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